Infectious Disease

Dozens of African nations are unlikely to fulfill targets for HIV testing and condom use

January 26, 2021

1 min read

Source / information

Source:

Nguyen P et al. Abstract 989. Presented at: HIV Research for Prevention; 27.-28. January and 3-4. February 2021 (virtual meeting).

Disclosure:
Nguyen does not report any relevant financial information.

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Dozens of African countries have made limited progress and are unlikely to meet UNAIDS targets for HIV testing and condom use by 2030, researchers reported at the HIV Research for Prevention virtual conference.

Phuong Nguyen, a PhD student in the Graduate School of Public Health at St. Luke’s International University in Tokyo, and colleagues evaluated survey data from more than 1.4 million sexually active people aged 15 to 49 in 38 African countries from 2003 to 2018 and used models to estimate What is the prevalence of annual HIV testing and condom use for each country and year by 2030. The UNIADS target is 95% coverage for both.

“Condom use and HIV testing are the main treatment pathways as prevention strategies, and I really think so [hitting the] Goals for these strategies are critical to the eradication of HIV in Africa, ”Nguyen said during a press conference.

Indeed, a UNAIDS report published last year stated that condoms “remain a cornerstone of effective prevention programming,” but investment and programming for condoms “remain suboptimal”.

According to Nguyen and colleagues, seven countries have actually seen downward trends in annual HIV testing, and five countries have seen downward trends in condom use.

Their model estimated that the highest coverage of annual HIV tests by 2030 in Swaziland (92.6%; 95% CI, 74.5% -98.1%), Uganda (90.5%; 95% CI, 72.2% -97.2%) and Lesotho (90.5%; 95% CI, 69.4% -97.6%).

The highest coverage rates for condom use by 2030 are forecast in Swaziland (85%; 95% CI, 57.8% -96.1%), Lesotho 75.6%. 95% CI, 42.3% -93.6%) and Namibia (75.5%; 95% CI, 42.4% -93.2%).

According to Nguyen and colleagues, the probability of meeting UNAIDS goals is between 0% and 28.5% for HIV testing and between 0% and 12.1% for condoms in all countries. No country showed a greater than 50% chance of achieving either goal.

“It is important to revise national policies, shift national resources and renew the attention and support of global donors, especially in the hardest hit countries,” said Nguyen.

References:

UNAIDS. Progress towards the Start Free, Stay Free, AIDS Free goals: Report 2020. https://www.unaids.org/en/resources/documents/2020/start-free-stay-free-aids-free-2020 -progress-report. Accessed January 26, 2020.

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